Allied Psychiatry And Mental Health | |
1401 Dove St Ste 420 Newport Beach CA 92660-2420 | |
(949) 945-0927 | |
(949) 269-6263 |
Full Name | Allied Psychiatry And Mental Health |
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Speciality | Psychiatry & Neurology |
Location | 1401 Dove St Ste 420, Newport Beach, California |
Authorized Official Name and Position | Hadi Estakhri (PRESIDENT) |
Authorized Official Contact | 6173144552 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Allied Psychiatry And Mental Health 1401 Dove St Ste 420 Newport Beach CA 92660-2420 Ph: (949) 945-0927 | Allied Psychiatry And Mental Health 1401 Dove St Ste 420 Newport Beach CA 92660-2420 Ph: (949) 945-0927 |
NPI Number | 1457829731 |
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Provider Enumeration Date | 11/05/2018 |
Last Update Date | 07/15/2020 |
Certification Date | 07/15/2020 |
Medicare PECOS PAC ID | 6608117346 |
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Medicare Enrollment ID | O20190408001014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457829731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Hadi Estakhri |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1003161522 PECOS PAC ID: 5294030367 Enrollment ID: I20170818002114 |
Provider Name | Melanie Diane Murua |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1548541352 PECOS PAC ID: 3375816838 Enrollment ID: I20170905001381 |
Provider Name | Mariam Fazil |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235827429 PECOS PAC ID: 5597125849 Enrollment ID: I20230718002080 |
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